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NPI Code Detail

MEDICARE: DR. JOSHUA JOSEPH SARAZIN MA, PHD

MEDICARE:  DR. JOSHUA JOSEPH SARAZIN  MA, PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY26364CA

General Provider Information

NPI Number : 1811017338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSHUA JOSEPH SARAZIN MA, PHD
Provider Business Mailing Address
First Line : 3400 PEGASUS DR
Second Line : #81686
City : BAKERSFIELD
State : CA
Zip : 93380
Country : US
Telephone Number : 661-431-5026
Fax Number : 661-437-3393
Provider Business Practice Location Address
First Line : 5500 OLIVE DR
Second Line : BUILDING 11, #1105
City : BAKERSFIELD
State : CA
Zip : 93308-2924
Country : US
Telephone Number : 661-431-5026
Fax Number : 661-437-3393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 08/17/2023

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